Benett I J, Danczak A F
Eur J Cancer Care (Engl). 1994 Jun;3(2):54-7. doi: 10.1111/j.1365-2354.1994.tb00013.x.
Significant Event Analysis can be used to improve the effectiveness of a Primary Health Care Team caring for terminally ill patients. A method of doing this is described in detail. Positive team qualities were confirmed and enhanced. Significant areas for improvement were identified: insufficient information had been given to some key workers, changes in medication had been poorly planned, continuity of care, and emotional and professional support of team members were inadequate. A strategy for change was developed and implemented. Performance was reviewed a year later. It was found that the Significant Event Analysis had caused changes in team practices, and was valid and reliable enough to be used as a tool for improving teamwork in primary care in future.
重大事件分析可用于提高基层医疗团队照料绝症患者的效率。本文详细描述了一种实现此目的的方法。积极的团队特质得到了确认和强化。同时也确定了需要重大改进的领域：一些关键工作人员未得到足够的信息，药物变更计划不完善，护理连续性以及团队成员的情感和专业支持不足。随后制定并实施了变革策略。一年后对绩效进行了评估。结果发现，重大事件分析已促使团队实践发生改变，并且足够有效和可靠，可作为未来改善基层医疗团队协作的工具。
